TRINITY MEDICAL CENTER – Emergency Medicine Physician, NPI 1568414134
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for TRINITY MEDICAL CENTER
UnityPoint Health - Trinity, 2701, 17th Street, Rock Island, Rock Island County, Illinois, 61201, United States
ROCK ISLAND, IL 612015351
Phone: (309) 779-5000
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-11-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 13 Medicare enrollment records; no due dates published yet.
Enrollment records
13
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20031203000016 | O | Clinic/Group Practice | IL | TBD |
| O20220428002152 | O | Clinic/Group Practice | NJ | TBD |
| O20220524002032 | O | Clinic/Group Practice | LA | TBD |
| O20220525002341 | O | Clinic/Group Practice | FL | TBD |
| O20220527000321 | O | Clinic/Group Practice | MI | TBD |
| O20220602000689 | O | Clinic/Group Practice | PA | TBD |
| O20221013000320 | O | Clinic/Group Practice | NV | TBD |
| O20221205000041 | O | Clinic/Group Practice | TX | TBD |
| O20240313002286 | O | Clinic/Group Practice | SC | TBD |
| O20240514000093 | O | Clinic/Group Practice | OK | TBD |
| O20240516003830 | O | Clinic/Group Practice | GA | TBD |
| O20240516003970 | O | Clinic/Group Practice | AL | TBD |
| O20241111002635 | O | Clinic/Group Practice | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61201)
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